AWANA Clubber Registration 2025-2026

Please fill out the following information for your child.
Enrolled children must be age 3 up through grade 6

Your name *

Email address *

Address *

Phone number *

Household members

Please click 'add child' for each member of your household who is participating in AWANA.

Permission to Participate in the AWANA Program *

I give permission for the above child to participate in all activities on Wednesday night AWANA clubs at Calvary Independent Church including indoor & outdoor games, Bible instructions & video, and snacks.

Medical Release *

If I cannot be reached, I authorize Calvary Independent Church to obtain medical treatment for my child which may be appropriate in emergency circumstances including ambulance, hospital, and other appropriate health care providers.

Photo Release *

I hereby authorize and consent to the use of images or videos of my child listed above, with or without their name, by Calvary Independent church of New Castle, PA., for purposes including but not limited to: promotional materials, printed publications, internet posts including social media, television, and other media sources.

Walking home from club release *

Walking home from club release

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